Basement membrane proteins modulate cell migration on bovine pericardium extracellular matrix scaffold

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Basement membrane proteins modulate cell migration on bovine pericardium extracellular matrix scaffold
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                OPEN             Basement membrane proteins
                                 modulate cell migration on bovine
                                 pericardium extracellular matrix
                                 scaffold
                                 Qi Xing, Mojtaba Parvizi, Manuela Lopera Higuita & Leigh G. Griffiths*
                                 Native bovine pericardium (BP) exhibits anisotropy of its surface ECM niches, with the serous surface
                                 (i.e., parietal pericardium) containing basement membrane components (e.g., Laminin, Col IV) and
                                 the fibrous surface (i.e., mediastinal side) being composed primarily of type I collagen (Col I). Native
                                 BP surface ECM niche anisotropy is preserved in antigen removed BP (AR-BP) extracellular matrix
                                 (ECM) scaffolds. By exploiting sideness (serous or fibrous surface) of AR-BP scaffolds, this study aims
                                 to determine the mechanism by which ECM niche influences human mesenchymal stem cells (hMSCs)
                                 migration. Human mesenchymal stem cells (hMSC) seeding on serous surface promoted more rapid
                                 cell migration than fibrous surface seeding. Gene analysis revealed that expression of integrin α3
                                 and α11 were increased in cells cultured on serous surface compared to those on the fibrous side.
                                 Monoclonal antibody blockade of α3β1 (i.e., laminin binding) inhibited early (i.e. ≤ 6 h) hMSC migration
                                 following serous seeding, while having no effect on migration of cells on the fibrous side. Blockade of
                                 α3β1 resulted in decreased expression of integrin α3 by cells on serous surface. Monoclonal antibody
                                 blockade of α11β1 (i.e., Col IV binding) inhibited serous side migration at later time points (i.e., 6–24 h).
                                 These results confirmed the role of integrin α3β1 binding to laminin in mediating early rapid hMSCs
                                 migration and α11β1 binding to Col IV in mediating later hMSCs migration on the serous side of AR-BP,
                                 which has critical implications for rate of cellular monolayer formation and use of AR-BP as blood
                                 contacting material for clinical applications.

                                  Bovine pericardium (BP) derived biomaterials have been widely used in a variety of surgical applications since
                                  its first introduction in clinical ­practice1. Glutaraldehyde-fixed BP (GFBP) for example is currently widely used
                                  clinically for bioprosthetic heart valve fabrication and arterial patches. GFBP has many advantages compared
                                  to synthetic materials, such as off-shelf availability, easy handling, and reduced suture b ­ leeding2. Additionally,
                                  glutaraldehyde fixation can prevent hyperacute and acute immune response by masking xenoantigens in BP.
                                  However, persistent presence of xenoantigens in GFBP results in chronic immune-mediated degeneration and
                                  subsequent ­calcification3,4. Additionally, residual glutaraldehyde in GFBP have also been linked with toxic-
                                  ity towards repopulating recipient ­cells5,6. Consequently, despite its short term benefits GFBP exhibits limited
                                  long term host cell repopulation, tissue integration and biomaterial remodeling. The limitation of GFBP can
                                  be potentially overcome by development of unfixed BP extracellular matrix (ECM) scaffolds which have been
                                  processed to reduce the antigenic content of the biomaterial, rendering it minimally antigenic and compatible
                                  with recipient non-immune cellular repopulation.
                                       An ideal decellularization method should eliminate candidate tissue xenoantigens, while maintaining native
                                  ECM structure–function properties. A variety of decellularization approaches have been explored to remove
                                  antigenic components from native BP, including sodium dodecyl sulfate (SDS), TritonX-100, and t­ rypsin7. It has
                                  been reported that SDS-decellularization can achieve complete acellularity; however, ECM structure–function
                                  properties of such scaffolds are significantly altered due to the denaturing properties of this ionic denaturing
                                 ­detergent7–9.. Disruption of the native ECM, especially basement membrane integrity, can negatively impact
                                  cell–matrix interactions altering cell phenotype, proliferation, survival and migration ­behavior7. Native BP has
                                  two distinct surfaces: (1) the parietal pericardial (i.e., serous) surface consists of an endothelial cell monolayer
                                  and underlying basement membrane; (2) the mediastinal (i.e., fibrous) surface is composed of connective tis-
                                  sue. A stepwise, solubilization based antigen-removal (AR) approach has been shown to significantly reduced

                                 Department of Cardiovascular Diseases, Mayo Clinic, Stabile 4‑58, 200 First Street, Rochester, MN 55905, USA.
                                 *
                                   email: Griffiths.Leigh@mayo.edu

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Basement membrane proteins modulate cell migration on bovine pericardium extracellular matrix scaffold
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                                            Figure 1.  Hematoxylin & eosin (HE) and basement membrane proteins staining of serous and fibrous surface
                                            of native BP and AR-BP. (A) HE staining demonstrating that AR scaffolds are completely acellular, while
                                            retaining native BP collagen organization. (B) Collagen IV immunofluoresence staining demonstrating that
                                            AR-BP scaffolds retain native Col IV staining on the serous surface and vascular lumen. Fibrous surface of both
                                            native and AR-BP scaffolds does not contain Col IV. (C) Laminin immunofluoresence staining demonstrating
                                            retention of native tissue laminin content and organization, on the serous surface and vascular lumen of AR-BP
                                            scaffolds.

                                             antigenicity, while maintaining native BP ECM structure–function properties, thereby providing a significant
                                             advance in the field when compared to traditional decellularization m   ­ ethods9–11. In particular, the major base-
                                             ment membrane proteins such as laminin and collagen IV (Col IV) are preserved on serous side of BP-AR scaf-
                                             folds, while the fibrous side exhibits a predominantly Col I surface composition. Consequently the surface ECM
                                             niche anisotropy of AR-BP scaffolds provides a unique opportunity to examine the effect of basement membrane
                                             vs. non-basement membrane surface on repopulating cell behavior.
                                                 Cell migration on ECM scaffolds is crucial in many biological processes including vascular tissue endotheli-
                                             alization and tissue regeneration. Human mesenchymal stem cells (hMSCs) derived from bone marrow has been
                                             reported to migrate/adhere to area’s of tissue injury or implanted grafts, and contribute to tissue ­regeneration12.
                                            It is suggested for instance that remodeling of vascular ECM scaffolds is dependent on adhesion, migration,
                                            proliferation and differentiation of such circulating cells. Previous experiments have shown that circulating
                                            progenitor cells, including hMSCs, contribute to endothelialization of the luminal surface of vascular ECM
                                            ­scaffolds13. The ability of hMSCs to differentiate into vascular cells demonstrates the important role of this cell
                                             population in vascular tissue ­regeneration14. However, the ECM niche factors which affect hMSC repopulation
                                             rate remain unknown. Determination of the ECM niche factors responsible for modulation of hMSCs migration
                                             on ECM scaffolds is critical to inform which side of such biomaterials should face the vascular lumen to enhance
                                             rate of luminal cellular repopulation.
                                                 In this work, hMSCs were employed as model cells to study in vitro cell migration on the serous versus
                                             the fibrous surfaces of BP scaffolds. It was previously shown that the different ECM niches of AR-BP scaffolds
                                             affected hMSCs proliferation and cytokine s­ ecretion15. We hypothesize that the basement membrane proteins
                                             laminin and collagen IV on the serous surface promote X–Y hMSCs migration across the scaffold surface, while
                                             absence of basement membrane components favors Z-direction migration. We further hypothesize that higher
                                             levels of cell migration is mainly mediated via interaction between integrin α3β1 and laminin. We evaluated the
                                             effect of BP-AR ECM surface niche on hMSC X–Y migration, Z-direction penetration, and proliferation into
                                             AR-BP, and integrin gene expression. To further define the mechanism of ECM niche dependent migration, we
                                             investigated the effect of integrin α3β1 and α11 chain blockade on ECM niche dependent migration and integrin
                                             gene expression.

                                            Results
                                            AR preserves native BP surface morphology and ECM component anisotropy.                       Effect of AR on
                                            the native ECM niche anisotropy of BP was investigated via histology and immunofluorescence. Hematoxylin
                                            and eosin (H&E) staining of native BP and AR-BP showed that collagen organization of both the serous and
                                            fibrous sides is maintained after AR (Fig. 1A). Immunofluorescence staining for Col IV (Fig. 1B) and Laminin
                                            (Fig. 1C) demonstrated that only serous surface of native BP contained these two basement membrane protein.
                                            Col IV and Laminin content and organization were preserved in BP-AR scaffolds.

                                            Effect of surface ECM niche anisotropy on X–Y planar cell migration and Z‑direction cell pen-
                                            etration. To determine the effect of ECM niche anisotropy on cellular migration, migration of hMCS seeded
                                            onto the serous versus fibrous sides of BP-AR scaffolds was compared. Cell images were taken at specific time
                                            points (Fig. 2A) with image analysis limited to quantification of purely X–Y surface migration rate. Planar X–Y
                                            migration distance was significantly greater for hMSC seeded on the serous surface than on fibrous surface at
                                            all time points (Fig. 2B). By day 6, mean migratory distance on the serous side was 1.66 ± 0.24 mm, compared to
                                            0.89 ± 0.19 mm on the fibrous side (p < 0.001). By day 6, mean migratory distance on serous side was 1.87 times
                                            greater than that of the fibrous side.

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                                  Figure 2.  Effect of AR-BP sideness on cell migration. (A) Inverted microscopy images of cell migration at
                                  different time points (day 0, 2, 6), demonstrating greater cell migration following serous side seeding than
                                  fibrous side seeding. Scale bar: 2.5 mm; (B) Quantification of cell migration over time in culture, showing
                                  migration rate following serous seeding is greater than that of fibrous seeding. Statistical analysis was performed
                                  using two-way repeated measures ANOVA and Tukey’s multiple comparisons post hoc test. Data points that are
                                  not connected by the same lower case letter are statistically different. (n = 6 scaffolds per group).

                                      Despite equal seeding densities, a greater number of cells were observed on the serous surface than on
                                  fibrous surface by observing H&E staining at day 6 (Fig. 3A). Cells on serous surface formed a confluent mon-
                                  olayer, whereas those on the fibrous surface did not. However, a significantly higher proportion of cells pen-
                                  etrated in the Z-direction from the fibrous surface (32.79 ± 4.32%), compared to the serous side (10.36 ± 2.67%)
                                  (p < 0.001) (Fig. 3B,C). Furthermore, the mean Z-direction migratory distance for cells migrating from the
                                  fibrous surface (262.68 ± 166.68 µm) was significantly greater than that of cells migrating from the serous sur-
                                  face (180.57 ± 109.69 µm, p < 0.001) (Fig. 3C). Among all the cells penetrated inside the scaffolds, only 35% of
                                  cells migrated deeper than 200 µm from serous side; whereas 59% of cells migrated deeper than 200 µm from
                                  fibrous side.

                                  Effect of surface ECM niche anisotropy on cell proliferation and cell death. Effect of ECM
                                  niche anisotropy on proliferation of hMSC was examined. Early post-seeding cell proliferation, as quantified by
                                  FUCCI staining at 6 h, did not differ between groups (Fig. 4A,B). Despite early cell proliferation identified via
                                  FUCCI, alamar blue intensity did not significantly increase in the first two days regardless of seeding surface. No
                                  significant difference in alamar blue intensity was identified between the serous and fibrous surface on days 1
                                  and 2. Statistical difference was observed from day 3 onward, with cells seeded on the serous surface proliferat-

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Basement membrane proteins modulate cell migration on bovine pericardium extracellular matrix scaffold
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                                            Figure 3.  Z-direction cell migration into AR-BP scaffolds following serous or fibrous seeding. (A) HE images
                                            demonstrating cells remain predominantly as a monolayer on the surface following serous seeding. Conversely,
                                            cell penetration into the scaffold is higher following fibrous side seeding. (B) Percentage of cells penetrated into
                                            scaffolds quantified from H&E images. Significantly less cells penetrate into the scaffold following serous seeding
                                            versus fibrous seeding, p < 0.001. (C) Distribution of depth of penetration into the scaffold for those cells which
                                            do migrate in the Z-direction, demonstrating that overall cell penetration depth from serous side is significantly
                                            less than from fibrous side, p < 0.01. Statistical analysis was performed using one-way ANOVA, n = 6 scaffolds
                                            per group.

                                            ing significantly more than those seeded on the fibrous surface (Fig. 4C). As a widely employed method for cell
                                            proliferation quantification, no negative effects of alamar blue on cells or scaffolds were observed. No evidence of
                                            cell death was noted in any group/time point. Percentage of dead cells was less than 0.5% throughout all culture
                                            time points, and not significant different between serous versus fibrous side seeding (p > 0.05) (Fig. 4D).

                                            Effect of surface ECM niche anisotropy on gene expression. To determine which integrins may be
                                            involved in the observed ECM niche mediated differential cell migration on AR-BP scaffolds, hMSCs grown on
                                            either serous or fibrous surface were collected after 6 d of culture for gene analysis. All PCR data from serous or
                                            fibrous surface seeding were normalized to cells seeded on tissue culture plastic. Major integrin genes, including
                                            α1, α2, α3, α4, α5, α6, α11, αv, β1, β3, β7, as well as migration-related genes such as TIMP2 and MMP2 were tested.
                                            Generally speaking, most of the integrin expression was higher in serous-hMSCs than in fibrous-hMSCs (α1, α3,
                                            α4, α5, α6, α11, αv, β1, β3); however, significance was only found for expression of integrins α3, α11, and β7 (Fig. 5).
                                            Although MMP2 (matrix metalloproteinases 2) gene, which is involved in breaking down ECM during cell
                                            migration, did not show statistically difference between serous and fibrous surface (data not shown); TIMP2,
                                            tissue inhibitor of MMP2, was significantly downregulated on serous side relative to fibrous side. These data were
                                            utilized to target candidate integrins for later antibody blocking experiments.

                                            Integrin blocking and gene analysis. In order to show that integrin α3β1 (laminin binding) and integrin
                                            α11β1 (Col IV binding) are one of the potential mechanisms involved in mediating cell migration on basement
                                            membrane (Serous) versus non-basement membrane (Fibrous) ECM environments, integrin blocking experi-
                                            ment were performed. Addition of anti-integrin α3β1 and anti-integrin α11 into cell culture medium significantly
                                            decreased cell migration on the serous side (Fig. 6). Blockade with anti-integrin α3β1 antibody prevented early
                                            migration (i.e., 4 and 6 h) on the serous surface, although migration resumed at later time points (Fig. 6A).
                                            Conversely blockade with anti-integrin α11 antibody inhibited serous side migration after the 6 h time point
                                            (Fig. 6B). By 24 h, mean cell migratory distance on the serous surface decreased by 52.8 ± 10.3% (anti-α3β1) and

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Basement membrane proteins modulate cell migration on bovine pericardium extracellular matrix scaffold
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                                  Figure 4.  Effect of AR-BP sideness on cell proliferation. (A) FUCCI staining and quantification (B) at 6 h
                                  culture, showing no seeding side does not significantly effect number of replicating cells at early time points.
                                  Statistical analysis was performed using one-way ANOVA (n = 6 scaffolds per group). (C) Alarma blue intensity
                                  of cells from 0 to 6 days. At later time points (4 days and 7 days), cell number is greater following serous side
                                  seeding than fibrous side seeding. (D) Dead cell staining showing the dead cell percentage in both culture has
                                  no significant difference at all time points. Statistical analysis for alarma blue intensity and dead cell percentage
                                  was performed using two-way repeated measures ANOVA and Tukey’s multiple comparisons post hoc test. Data
                                  points that are not connected by the same lower case letter are significantly different. (n = 6 scaffolds per group).

                                  24.8 ± 0.8% (anti-α11) respectively, in the presence of integrin blockade. Conversely, addition of anti-integrin
                                  antibodies did not change cell migration significantly on the fibrous surface (Fig. 6C,D).
                                     With addition of anti-integrin α3β1 to cell culture on serous surface, integrin α3 and α11 gene expression
                                  significantly decreased. Blockade with anti-integrin α11β1 to cell culture on serous surface only significantly
                                  reduced integrin α3 expression and had no effect on α11 gene expression. For cells cultured on fibrous surface,
                                  addition of anti-integrin α3β1 or anti-integrin α11β1 significantly decreased integrin α3 expression only, and had
                                  no effect on α11 expression.

                                  Discussion
                                  The present study demonstrates the importance of different ECM niche (i.e., basement membrane versus non-
                                  basement membrane) on hMSCs migration. Specifically, we compared the effect of basement membrane pres-
                                  ence (serous side seeding) versus absence (fibrous side seeding) on hMSC behavior and found that: (1) AR-BP
                                  preserved basement membrane proteins laminin and Col IV on serous surface; (2) hMSCs migrated rate is
                                  increased following seeding on the basement membrane containing surface (i.e., serous side) of AR-BP scaffold
                                  compared to the non-basement membrane surface (i.e., fibrous side); (3) basement membrane presence prevents
                                  Z-direction migration of cells seeded on BP-AR scaffolds; (4) higher expression of integrins α3 and α11 from
                                  cells seeded on the serous surface are two of the major mechanism for enhanced cell migration. (5) Blockade
                                  of integrin α3β1 activity inhibits early post-seeding migration, while blockade of integrin α11β1 inhibits late cell
                                  migration on basement membrane containing surfaces. These findings demonstrate that laminin binding via
                                  integrin α3β1 and Col IV binding via integrin α11β1 are major mechanisms for early and late hMSC migration
                                  respectively, following seeding on basement membrane containing surfaces.
                                      Basement membranes are a critical component in ECM niche of vascular tissue that supports and facilitates
                                  cell growth and function. However, most commonly used decellularization reagents such as sodium dodecyl
                                  sulfate (SDS), sodium deoxycholate, 3-[(3-cholamidopropyl) dimethylammonio]-1-propanesulfonate (CHAPS)
                                  have been shown to disrupt basement membrane structure and composition in ECM ­scaffolds7. Disruption and/

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                                            Figure 5.  Gene analysis of cells on serous or fibrous side BP scaffold (Day 6). Expression of ITGA3, ITGA11
                                            and ITGB7 are increased following serous side compared to fibrous side seeding. TIMP 2 expression is
                                            decreased following serous side compared to fibrous side seeding. Statistical analysis was performed using one-
                                            way ANOVA (n = 6 scaffolds per group; *p < 0.05).

                                             or denaturing of native basement membrane structure can negatively impact the cell interaction with ECM scaf-
                                             folds. Indeed, previous studies have demonstrated reduced cell viability when seeded onto SDS-decellularized
                                             bovine pericardium; even after 7 days washout, the toxicity of SDS scaffold remained at 96.5%15. Furthermore,
                                             ECM mediated differential cell behavior is abolished in SDS-decellularized B ­ P15. The current study demonstrates
                                             that AR-BP maintains basement membrane integrity (i.e., laminin and collagen IV organization and content).
                                                 Various studies have shown that individual ECM molecules, especially basement membrane components Col
                                             IV and laminin, can promote cell adhesion and migration in vitro. For instance, coating fibronectin, Col IV or
                                             laminin on polycarbonate filters promotes lens epithelial cell migration in a concentration dependent ­manner16.
                                             Collagen IV coating on cell culture plates has also been shown to increase aortic endothelial cell adhesion and
                                            ­migration17. Laminin and fibronectin can stimulate directional migration of B16 murine metastatic melanoma
                                             cells in vitro as assessed in modified Boyden c­ hambers18. However, these studies only investigated the effects of
                                             single component on cell migration. In this work, we used AR-BP scaffold which maintained major basement
                                             membrane components on serous surface, to allow investigation of the impact of the complex ECM niche on cell
                                             migration. We found that hMSCs cultured on serous surface migrated significantly faster than cells on fibrous
                                             surface. Our results are consistent with previous studies that presence of individual basement membrane com-
                                             ponents promote cell migration.
                                                 Cell migration is a complex process, and multiple independent mechanism may be involved in cell response
                                             to ECM proteins. Integrins play a critical role in mediating cell adhesion and m ­ igration19. Comparing integrin
                                             gene expression of hMSCs cultured on serous and fibrous surface, we found that serous-seeded hMSCs expressed
                                             significantly higher level of integrin α3 and integrin α11 than fibrous-seeded hMSCs. Integrin dimer α3β1 mainly
                                             binds to laminin, so the presence of laminin on the serous surface may explain the enhanced expression of this
                                             laminin binding integrin. Comparing gene expression of integrin α3 and α11 from cells grown on serous surface
                                             on day 1 (Fig. 6) and day 6 (Fig. 5), the relative expression (normalized to tissue culture plastic) is much higher
                                             on day 1. This observation might indicate that cells were making a lot more integrin at early adhesion and
                                             migration stage in order to move around aggressively, but making less integrin at later time points because they
                                             had already produced sufficient integrin to achieve their matrix mediated migration rate. It was reported that
                                             loss of integrin α3β1 altered actin cytoskeleton dynamics at the leading edge of migrating neurons leading to cell
                                             migration ­defect20. Conversely, integrin dimer α11β1 is a receptor for collagen, including Col I and Col IV, and
                                             supports cell migration through collagen rich ECM. Previous studies demonstrated that integrin α11β1 mediated
                                             cell adhesion to collagens I and IV and formed focal contacts on ­collagens21. Blocking integrin α3β1 and α11β1 by
                                             antibodies significantly decreased cell migration on serous surface within 24 h, which confirmed that these two
                                             integrins are involved in hMSCs migration on serous surface. Importantly, the effect of integrin α3β1 blockade
                                             was most prominent at early time points (4 and 6 h) whereas integrin α11β1 blockade prevented migration only
                                             at later time points (24 h). However, blocking integrin α3β1 and α11β1 did not have significant impact on cell
                                             migration on fibrous surface, which were probably due to the lack of laminin and collagen IV on fibrous sur-
                                             face. Addition of anti-integrin α3β1 antibody on serous-hMSCs significantly decreased integrin α3 and α11 gene
                                             expression; addition of anti-integrin α11β1 antibody on serous-hMSCs only significantly decreased α3 expression.

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                                  Figure 6.  Effect of integrin blocking antibodies on cell migration and gene expression. Anti-α3β1 represents
                                  culture with integrin α3β1 antibody added; anti-α11 represents culture with integrin α11 antibody added; control
                                  represents culture without any antibody addition. (A) Addition of anti-integrin α3β1 (20 µg/mL) on serous side
                                  cell culture, significantly reduces cell migration. Additionally, expression of ITGA3 and ITGA11 are reduced
                                  following anti-integrin α3β1 antibody blockade. (B) Addition of anti-integrin α11 (20 µg/mL) on serous-side cell
                                  culture, significantly reduces cell migration only at later time points (i.e., 24 h). Expression of ITGA3, is reduced
                                  following anti-integrin α11 antibody blockade. (C) Addition of anti-integrin α3β1 (20 µg/mL) on fibrous side cell
                                  culture results in no significant difference in cell migration. Expression of ITGA3 is reduced following anti-
                                  integrin α3β1 antibody blockade. (D) Addition of anti-integrin α11 (20 µg/mL) on fibrous-side cell culture results
                                  in no significant difference in cell migration. However, expression of ITGA3 is reduced following anti-integrin
                                  α11 antibody blockade. Statistical analysis was performed using one-way ANOVA with repeated measures for
                                  time series data (n = 6 scaffolds per group; *p < 0.05; **p < 0.01). Data points that are not connected by the same
                                  lower case letter are significantly different.

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                                            These results suggested that integrin α3 is more critical than integrin α11 in directing cell migration on basement
                                            membrane. Previous studies have shown that laminin is the most important basement membrane constituent
                                                                      ­ igration16. Comparison between laminin and Col IV demonstrated that laminin is more
                                            directing epithelial cell m
                                            effective in promoting cell migration; collagen IV is more effective in promoting cell ­adhesion16. Another study
                                            found that among various matrix proteins laminin-5 was most potent in promoting adhesion and migration
                                            of different kinds of glioma cells; and integrin α3β1 specifically mediated the interaction with laminin-522. On
                                            the fibrous surface, addition of anti-integrin α3β1 antibody did not block cell migration, although integrin α3
                                            gene expression significantly decreased. Similarly, addition of anti-integrin α11β1 antibody did not block fibrous
                                            side cell migration despite significantly decreasing integrin α3 gene expression. In both case, integrin α11 gene
                                            expression did not change significantly. These results suggested that neither integrin α3 or integrin α11 are critical
                                            regulators of cell migration on the non-basement membrane surface (i.e., Col I) of ECM scaffolds.

                                            Conclusions
                                            This study demonstrates differential hMSCs migration behavior on serous and fibrous surface of AR-BP ECM
                                            scaffolds. AR-BP scaffolds maintained major basement membrane proteins laminin and Col IV on serous surface,
                                            which significantly promoted planar cell migration; whereas, the fibrous surface does not contain laminin and
                                            Col IV and consequently modulates slower hMSCs planar migration. Conversely, Z-direction migration is higher
                                            in the non-basement membrane environment than in the basement membrane containing ECM niche. Further-
                                            more, early hMSCs migration on serous surface is predominantly mediated through integrin α3β1 interaction
                                            with laminin, while later hMSC migration is mediated via integrin α11β1 interaction with Col I. These findings
                                            are valuable for selection of the optimal surface of BP scaffold for clinical applications. Serous side of AR-BP
                                            stimulates faster cell migration and resultant monolayer formation than fibrous side; therefore, it is reasonable to
                                            orient the serous surface toward the vascular lumen when considering utilization of AR-BP as a vascular patch.

                                            Methods
                                            BP scaffold preparation. Bovine pericardial sacs from adult cattle (Spear Products, Coopersburg, PA)
                                            were stripped of epicardial fat and loose connective tissue. Pericardium was cut into square pieces (1 × 1 cm),
                                            and subjected to AR as previously d   ­ escribed11. Briefly, BP pieces were subjected to hydrophile solubilization
                                            (10 mM Tris–HCl pH 8, 0.5 mM Pefabloc, 100 mM DTT, 100 mM KCl, 2 mM M             ­ gCl2·6H2O, 1% (v/v) antibiotic
                                            antimycotic solution, Sigma) for 48 h, followed by lipophile solubilization (3% (w/v) ASB-16 in hydrophile solu-
                                            bilization buffer) for 48 h at room temperature. Then all samples were treated by nucleic acid digestion (10 mM
                                            Tris–HCl pH 7.6, 150 mM NaCl, 5 mM ­MgCl2·6H2O, 2.5 Kunitz units/mL DNAse I, 7.5 Kunitz units/mL RNAse
                                            A, 1% (v/v) antibiotic antimycotic solution) for 24 h, followed by washout in 0.5 mM Pefabloc, 10% (v/v) Tris-
                                            Buffered saline, 1% (v/v) antibiotic antimycotic solution for 96 h. All the solutions were changed twice a day.

                                            Cell seeding and culture.        hMSC were isolated from fresh, unprocessed human bone marrow from three
                                            healthy donors (Lonza, Allendale, NJ) and transduced with enhanced green fluorescent protein (eGFP) as previ-
                                            ously ­described15. All hMSCs employed in these studies have been previously qualified for stemness by trilineage
                                            differentiation and surface marker expression ­studies15,23. For cell seeding experiments, BP-AR scaffolds were
                                            placed in the bottom of 24-well plates with either the serous or fibrous surface face up. 5 mm glass cylinders were
                                            placed on the center of each scaffold and used to confine seeding of eGFP-hMSCs at a density of 500 cells/mm2
                                            in 100 µL hMSC culture media (Dulbecco’s modified Eagle’s medium high glucose (DMEM), 1% (v/v) penicil-
                                            lin–streptomycin (P/S), 1% (v/v) l-glutamine 200 mM (Hyclone Laboratories, South Logan, UT, USA) and 10%
                                            (v/v) fetal bovine serum (FBS, Atlanta Biologicals, Lawrenceville, GA, USA). Glass cylinders were removed after
                                            overnight incubation (Day 0). Seeded scaffolds were cultured at 37 °C and 5% ­CO2. Culture media was changed
                                            daily.

                                            Quantification of X–Y cell migration distance. Cells were imaged on day 0, 1, 2, 4, and 6 using Nikon
                                            inverted fluorescence microscopy at 4× magnification, with the entire scaffold surface imaged using an auto-
                                            mated stage and stitching software (NIS Elements, Nikon). The cell migration distance was defined as the mean
                                            migratory distance which was obtained by calculating total area covered by cells, converting this area to that of a
                                            circle of equivalent size and employing the radius of this circle as a non-directional estimate of mean migratory
                                            distance at each time point. The increase in mean migratory distance was compared to initial seeding location
                                            (i.e., radius at each time point minus radius at time 0). Six scaffolds were analyzed for each group.

                                            Proliferation. Seeded scaffolds were cultured for 6 days, with alamar blue assay performed on days 0, 2, 4,
                                            and 6. Alamar blue reagent was mixed with cell culture media at the ratio of 1:10. Cells on scaffolds were washed
                                            with fresh media and incubated in 250 µL alamar blue reagent mixture for 1.5 h at 37 °C. 100 µL of supernatant
                                            from each well was transferred in 96-well plate for measurement of fluorescence intensity using a Cytation3
                                            imaging reader (560Ex/590Em). Premo FUCCI cell cycle experiment was performed according to manufac-
                                            turer’s recommendations. Briefly, cells plated on tissue culture flask were transfected with Premo reagent. After
                                            overnight incubation, cells were harvested and seeded on either serous or fibrous AR-BP scaffolds. After 6 h,
                                            the total fluorescent cells on each scaffold were counted. The scaffolds were imaged using Nikon inverted fluo-
                                            rescence microscopy at 4× magnification, with the entire scaffold surface imaged using an automated stage and
                                            stitching software. Six scaffolds were analyzed for each group.

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                                  Dead cell assay.        Seeded scaffolds were cultured for 5 days, with dead cell assay performed on days 1, 2
                                  and 5. Scaffolds were washed with 1 mL of phosphate-buffer saline (PBS, Sigma) to remove any cell debris and
                                  incubated for 5 min in 1 mL of ethidium homodimer (6 µM, Sigma) in PBS. After the incubation, the ethidium
                                  homodimer solution was removed and replaced with 1 mL of cell media. The scaffolds were imaged using Nikon
                                  inverted fluorescence microscopy at 4× magnification, with the entire scaffold surface imaged using an auto-
                                  mated stage and stitching software. The red fluorescent cells (dead cells) were counted using MATLAB and
                                  expressed as a ratio of green fluorescent live cells number. Six scaffolds were analyzed for each group.

                                  Quantification of cell Z‑direction migratory distance. The H&E histology section of day 6 cell-
                                  seeded BP scaffolds were imaged using Nikon microscopy. The Z-direction migratory distance was defined as
                                  the shortest distance from the cell to the seeding surface. Percentage of cells penetrated into scaffold was defined
                                  as ratio between cells with migratory distance larger than 0 and all cells counted in each image. The penetra-
                                  tion depth distribution only accounted cells with migratory distance larger than 0. The percentage of total cells
                                  (Fig. 3C) was defined as ratio between cells with specific migratory distance and all cells penetrated inside scaf-
                                  folds. Six scaffolds were analyzed for each group and three random power fields were analyzed for each scaffold.

                                  Immunohistochemistry and immunofluorescence staining. Histology sections of BP scaffolds with
                                  or without hMSCs seeding were processed using H&E staining, and immunofluorescence staining. Briefly, scaf-
                                  folds were fixed in 10% buffered formalin, embedded in paraffin, and 4 µm sections created for staining. Immu-
                                  nofluorescence staining for basement membrane proteins laminin and collagen IV was performed using rabbit
                                  anti-laminin (1:50, Invitrogen,) and rabbit anti-collagen IV (1:200, Abcam, Cambridge, MA, USA) primary
                                  antibody. Fluorescent anti-rabbit secondary antibody tagged with Alexa Fluor 647 or Alexa Fluor 488 (1:200,
                                  Abcam) was used for visualization. Nikon Eclipse Ni-E microscopy was used to image H&E slides under 20×
                                  magnification and fluorescence staining slides under 40× magnification.

                                  RT‑PCR. After 6 days of culture, total RNA from seeded scaffolds were extracted using the RNeasy Mini plus
                                  kit (Qiagen, Valencia, CA). Primers specific for target genes (Supplementary Table 1) were purchased from IDT
                                  and GAPDH was used as housekeeping gene. Cells cultured on tissue culture plastic were used as control. RT-
                                  PCR reactions were performed on QuantStudio 7 Flex real-time RT-PCR system (Applied Biosystems, Foster
                                  City, CA, USA), using Tagman PCR Master Mix. The amplification reactions were carried out for up to 40 cycles.
                                  Fold variation in gene expression was quantified using the comparative Ct method: 2­ −(ΔCtTreatment−ΔCtControl).

                                  Integrin blocking experiment. Integrin blocking experiments were performed by adding anti-integrin
                                  α3β1 (20 µg/mL) or anti-integrin α11 (20 µg/mL) antibody (Abcam, MA) to cell culture medium. Cells were
                                  cultured up to 24 h and cell migration was imaged at 0, 4, 6 and 24 h. Then total RNA was extracted for gene
                                  analysis.

                                  Statistical analysis. All data are expressed as mean ± standard deviation. One-way ANOVA were per-
                                  formed on gene analysis, FUCCI, and Z-migration experiment. Two-way repeated measures ANOVA and
                                  Tukey’s multiple comparisons post hoc test were performed on average mean migratory distance, alamar blue
                                  proliferation, and dead cell experiments. For all analyses p < 0.05 was considered to be significant.

                                  Received: 28 July 2020; Accepted: 12 February 2021

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                                            Acknowledgements
                                            The authors wish to thank Manuela Lopera and Tiffany Griffiths for their kind assistance with cell culture,
                                            immunohistochemistry, and generation of ASB-16 scaffolds. This work was supported by the National Institutes
                                            of Health grant (R01HL121068). Any opinion, findings, and conclusions expressed in this work are those of the
                                            authors and do not necessarily reflect the views of the National Institutes of Health.

                                            Author contributions
                                            Q.X. implemented the experiment, collected data, created the figures, and drafted the manuscript. L.G.G., M.P.,
                                            Q.X. helped edited the final manuscript. L.G.G., M.P., Q.X. contributed to the conception and design of the
                                            experiment; M.P. performed preliminary experiment; M.L.-H. performed dead cell staining experiment.

                                            Competing interests
                                            The authors declare no competing interests.

                                            Additional information
                                            Supplementary Information The online version contains supplementary material available at https​://doi.
                                            org/10.1038/s4159​8-021-84161​-5.
                                            Correspondence and requests for materials should be addressed to L.G.G.
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